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Original Article
Functional outcome in severe idiopathic scoliosis patients treated operatively with posterior stabilization (Cantilever Bending Technique) at Sardjito General Hospital
1 Department of Orthopaedic and Traumatology Sardjito General Hospital / Faculty of Medicine, Universitas Gadjah Mada,, Indonesia
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Ronald Iskandar
Department of Orthopaedic and Traumatology, Sardjito General Hospital / Faculty of Medicine
Universitas Gadjah Mada, Indonesia
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Article ID: 100009O03YS2018
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How to cite this article
Sakti YM, Iskandar R, Magetsari R, Rukmoyo T, Muttaqin R. Functional outcome in severe idiopathic scoliosis patients treated operatively with posterior stabilization (Cantilever Bending Technique) at Sardjito General Hospital. Edorium J Orthop 2018;4:100009O03YS2018.ABSTRACT
Aims: Severe and rigid scoliosis is difficult to treat. It requires extensive surgical intervention, which cause many clinical and neurological complications. Single-stage operation in rigid scoliosis will decrease morbidity in patients. The aim of this study was to evaluate radiological, clinical, and functional outcome patients with severe and rigid scoliosis treated with a single-stage operation.
Methods: This was a descriptive analytical study was conducted in patients with scoliosis treated operatively with posterior stabilization (cantilever bending technique) that came to Orthopaedic and Traumatology department of Sardjito Hospital from January 2015 – December 2016. Data measured were radiologic parameter (Cobb Angel), enhancement body height and the functional outcome were measured by radiologic parameter (Cobb Angel) and non-radiologic parameter as Barthel Index, Instrumental Activities of Daily Living (IADL), Rosenberg Self-Esteem Scale.
Results: There were 7 eligible subjects aged 13–18 years old, 6 were females. We performed single-staged operation in the operating theatre setting 37–52o reduction Cobb angle and 5–13 cm body height enhancement were achieved. There were statistically significant differences functional outcome pre-operative and post-operative treatment (P<0.001). One of the patient suffer from pulmonary problem requiring pulmonary support in the ICU. Conclusion: This study showed that single-stage operation with Cantilever technique was beneficial, important, complex and need team approach for the treatment of in severe and rigid scoliosis. The patient had better functional outcome post operatively based on radiologic and non-radiologic parameter.
Keywords: Cantilever technique, Functional outcome, Severe scoliosis
SUPPORTING INFORMATION
Author Contributions
Yudha Mathan Sakti - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ronald Iskandar - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Rahadyan Magetsari - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Tedjo Rukmoyo - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Reza Muttaqin - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this study.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2018 Yudha Mathan Sakti et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
